HomeMy WebLinkAbout13-14683 - � � CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 14683
BUILDING PERMIT
Permit Number: 14683 Address: 4941 LAKESIDE DR
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: WiNTERS
Est.Value: Parcel Number: �426-21-0000-00200-0000
Improv. Cost: 5,355.00
Date issued: 10/31/2013 Name: WINTERS MH PARK IN (JOHNS RUSSEL
Total Fees: 97.50 Address: 38022 WINTER DR
Amount Paid: 97.50 ZEPHYRHILLS FL 33542-5544
Date Paid: �0/31/2013 Phone: 813-780-8568
Work pesc: RER40F SHED & MH MEMBRANE
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TAPE JOINTS F IN
FINAL -�/I� �
REINSPECTION FEES:Reinspec�ion fees wiil oomply wi#h Florida Statute 553.80(2)(c)when entra inspection
Mps are ne�ary due#o any one of the following reasons: a)wrong address b)oondemned work resulting
frort�faulty con�vction c) repairs or corrections not made when inspections calied d)work not ready for
inspection when called e) permit no#posted on job site� plans not at job site g)work not acaesslble.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water managerr�ent, state agencies or federal a encies.
"Warning to owner: Your failure to r�e�cord a notice of commencement may result in your pay�ng twiae for
improvements fio your proper#y. If you intend to obtain finandng,consuit with your lender or an attorney
before reaordin our notice of commenoement"
Complete Plans,SpeciflcatloAS Must Acoompany Applicatlon.All work shail be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
�
CON O SIG ATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR iNSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
-------------_--,---_
, ��. ��-�-s �- < < � �,�1 ��°�
81�-�so-oo2o City of Zephyrhills Pe ' F�-s»-�ao-oo2�
" Building Departrnent
��R�� i� �" �3 Phone Contact for Pennkd l�� a--°(� _ Cr q�ss�
Owner's Name Rv SS c �1 Ua v�r�-�v1 Owner Phone Number C�`�"7�0-�',�(,
Ownar's Address ` l � Lo�, j � Owner Phone Number
Fee 8imple TiNeholder Ns�rw G.l:n�c.�s (�[,� a � �. �� Owner Phone Number �- �
Fae 8tmple Tftlahoider Addross ��7'U 2-�. G.J;v�. ���� Z-e [, r�'� l� �L �j�'E a
JOB ADDRESS �`�, �q, b � �r, LOT� �
9UBDMSION ���"`-��S (1'� (�-) P � PARCEL.ID� ��-�G-a'l-Qc�a�-UOaC,-Q6up
{OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR e ADD/AlT � SIGN O MOVE Q DEMOLISH
INSTALL REPAIR
PROP08ED U8E Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q OTHEF2
QESCRIPTION OF WORK '��-�-o'v�r t a lcS�O�\ �Q t � C���ct� �� �t � e W'qrz..-L
BUILDING 312E SQ FOOTAGE ��a-O � HEIGHT
Q BUILDING � � VALUATION OF TOTAL CONS CTI � 5� `� � �/��1
Q ELECTRICAL $ AMP SERVICE OG ERGY Q W.R.E.0
� PLUMBING � � ��
Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ���' '"%�
2 Z �
�/-��
Q GAS � ROOFING Q SPECIALTY Q OTHER "/ � ) �
l.�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES �NO
BUILDER �C�� �� COMPANY �--�s �� �-0;/�e r - �-{�•c.,
SIGNATURE "�\ RECsISTERED Y/ N FEE CURRENT Y/N
Address License�
ELECTRIqAN COMPANY
SIGNATURE REG�STERED Y/ N FEE CURRENT Y/N
Address License# � �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
MECHANICAL COMPANY
31GNATURE REGISTERED Y/ N FEE CURRENT Y/N
A�^� License�
OTHER COMPANY
SIGNATURE RE(iISTERED Y/ N FEE CURRENT Y/N
Addr�s License� �-
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days aRer submittal date. Ftequined onsite,Construction Plans,Stormwater Plans w!Silt Fence installed,
Sanitary Faalities&1 dumpster,Site Work Permit for subdivisions/iarge projects
COMMERCIAL Attach{3)complete sets of 8uiidlr�Plans plus a Life Safey Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction.
Minimum ten(10)walci�days after submittal date. Required onsite,Construction Plans,Stom�water Plans w/Sift Fence instailed,
Sanitary Faalities 8 1 dumpster.Site Work Permit for all new projecxs.All oommeraal requiremerrts must meet oomplianoe
SIGN PERMIT Attach(2)sets of�ngineered Plans.
*"`*PROPERTY SURVEY required for all NEW construdion.
Dlrectiona:
Fill out application completely.
Owner 8 Contractor sign baqc of appiication,notarized
If over;2b00,a Notice of Commencen+ent is required. (A!C upgrades over:5000)
*" Agent(for the contrador)or Pow�er of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
pVER THE COUNTER PERNII'f'11NG � (Front of Appliption Only)
Reroofs Sew�ers Set�utoe tfpg�` ' A/C Fenoas(PIoUSurvey/Footage)
Driveways-Not over Counter'rf on public roadways..needs ROW �
�
NOTICE OF DEED REStRICTiONS: The undersigned understands that this permit may be subject to"deed"restrictiona"
which may be more restrictive than County regulations. The undersigned assumes responsibiiity for c�mpiiance with any
applicable deed restrictions.
UN�ICENSED CONTRACTOR6 AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractar or
contradors to undertake work, they may be required to be licensed in axonianoe with state gnd Iocat regulations. If the
contractor is not licensed as required by law, both the owne� and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended oontrador are unoertain as to what livensing requiremer�ts may apply for the
intended work, they are advised to contact the Pasco County 8uilding Inspec�ion Division—Licensing S�dipr�at 727-847-
8009. �urthermore, if the owner has hired a contractor or contractors, he is adviaed to have the contrac�or(s) sign
portions of the"contractor Blodc" of this application for which they will be responsible. If you, as the awner sign as the
contractor, that may be an indication that he is not propeHy lioensed and is not entitled to permitting privileges in Pasco
County.
TRANSPOR1Ai10N IMPACT1tJTILITIE3 IMPACT RND I�SOURCE RECOVERY FEE3: The undersigned undarstands
that Transportation Imped Fees and Recourse Reoo�very Fess may apply#o the construc�ion of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be iden�fied at the time of
permitting. It is further understood that Transportation fmpact Fees and Resource Recovery Fees must be paid prior to
receiving a "cettific;ate of occupancy° or flnal power release. If the project does not involve a oertificate of occupancy or
final power release, the fees must be paid prior to permit issuanoe. Furthermore, if Pasco County WateNSewsr Impact
fees are due,they must be paid prior to permit issuant;e in acoordance with applicable Pasco Coun#y ordinanoes.
CONSTRUCTION I.IEN LAW(Chs�p�r 713, Florida St�tutes,as amended): If valuation of work is$2,500.00 or more, 1
certify that I, the applicant, have been provided with a oopy of the "Florida Constniction Lien Law—Homeowner's
Protection Guide° prepared by the Florida Departrnent of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described documeht and promise in good f8ith to
deliver it to the"owner"prior to oomme�c�ment.
CONTRACTOR'S/OWNER'3 AFFIDA�/1'T: i certiry that a11 the infortnation in this application is acxurate and that all work
will be done in compiiance with all appticable laws regWatin9 construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land deveiopment regulations in the jurisdiction. I also
certify that 1 understand tha#the reguiations of other govemment agencies may apply to the intended wa�k, and that it is
my responsibility to idenMy what ac�ons 1 must take to be in compliance. Such agencies indude but are not 6mited to:
- Departmerrt of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WaterMlastewater Treatment.
- Southwest Florida Water Management District-Wetls, Cypress Bayheads, Wetland Areas, Altering
Watercour�s.
- Arrny Corps of Engineers-Seawalls, Dodcs, Nevigable Waterways.
- Department of Mealth � Rehabilitative Services/Environmentel Health Unit-WeNs, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following reatrictions apply to the use of fill:
- Use of�N is not elkiwed in Flood Zone"V"uMess expressly pe►mitted.
- If the fill material is to be used in Flood Zone "A°, it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professsional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fil! will not adv+ersely �ffed adjacent
properties. If use of fill is found to adversely affect adjacent properties, tMe owner may be cibed for violating
the conditions of the building permit issued under the attached permit applic�tion, for lots iess tfian one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR Y'HE OWNER, I promise in good faith to infortn the owner of the pertnitting conditions set forth in
this affidavit prior to commencing construction. f understand that a separate permit may be required Uor electrical wortc,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not speaficaUy included in the application. A
peRnit issued shaN be construed to be a license#o proceed w�th the work and noi as autho�ity to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building(micial frorrr there�fter
requiring a correction of errot�s in plans, construction or violations of any codes. Every pertnit issued shall become invalid
unless the woric authorized by Such pertnit is commenced within six months of permit issuance, or if work authorized by
the permit is su�pended or abandoned for a period of six(6)mortths after the time the worlc is commenced. An entension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceasea for ninety(90)consecutive days, tl�e job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TIMCE FOR IMPROVEMENT8 TO YOUR PROP�RTY. IF YDU IM'END TO OBTAIN PiNANCING,CONSULT
WITH YQUR�ENDER OR AN ATTORNEY BEFORE RECORDNdG YOUR NOTICE O��Q�NCEMENT.
FLORIDA JURAT(F.S.117.03) ,
.
OWNER OR A<iENT CONTRACTOR 3�
Subsaibed and swom to(or affimied)before me this Su cri and swom o r m�ed)befo me this
by cY �.s L3 by c
Who is/are personaNy known to me or haslhave produced Wh is! re personeRy known to me or has/have produoed
as idenHfication. as ideMification.
�� ''.
Notary Public '�� � '�-� Notary Public
Commission No. Commission No.
:°` A M98C6
Name of Notary typed,prirrted or stamped Name of Notary typed,printed ����
��� Notary Public Stats
Anne Meade
My Commissio�FF 0601 t8
�p�p� Expiros 11/04/2017
. � i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii
2013183336
Perrtiit Number
Folio/Parcei Identification Nnumber (9-'��-al-C�CrUO°C�0'ao 0-Qn�� Rept:1558949 Rec: 10.00
P�Pa� by�`��i c�i.)�,Id.�.0 DS: 0.00 IT: 0.00
10/25/13 S. Shultz, Dpty Clerk
Retum to��p y�,,����u_�` �y��'cLr��. , PRULq S 0'NEI�,ph D PqSCO CLERK & COMPTROLLER
� � � T`��'^°� �} 10/25/13 10�6am 1 of 1
C-�c�c�.��-�-r +F'c�3 7 5� OR BK
'/1 NOTICE OF COMMENCEMENT � 49 P� 343� �
State of Flwida, County of 1"c�sco
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance
with Chapter 713, Florida Statutes, the folbwing information is provided in this Notice of Commencement.
1 Description of roperty legal description pf the property, and street address rf available) �
'`�9_4\ Lo..�s i�� �t-� �f l v�-�-cS V� k-1 � Ze F�I.C��..���s L• 33S''E�.
2 General description of improvement
Reroof
3 Owner infonnatiQn or Less infoRnation if the Lessee contracted for the improvement
Name s�e 1 ���s +�
Address °[�\ i� ' Z< G. 4. �- 3��`E"�
Interest in Property �s- .".ey-
Name and a dress of fee simple tit! holder(ff different from Owner listed above)
Name 'v�. r `� ��. � , c
Address �O'a-a �� c �. `, .s t_. 3.
4 Contractor
Name Rebecca J, Mays/Comfort Cover Systems, Inc Telephone Number 727-298-0955
Address 711 Tumer St Clearwater, FL 33756
5 Surety (if applicable, a copy of the payment bond is attached)
Name N/A Telephone Number
Address Amount of Bond $
6 Lender
Name N/A Telephone Number
Address
7 Persons within the State of Florida designated by Owner upon whom notices or other documerrts may
be served as provided 5y §713.13(1)(a)7, Florida Statutes.
Name nUA Telephone Number
Address
8 In addition to himseff or herself, Owner designates the following to receive a copy of the Lienor's
Notice as provided in §713.13{1){b►, Ftorida Statutes.
Name N/A Telephone Number
Address
9 Expiration date of notice of commencement (the expiration date may not be before the completion of
construction and final payment to the contra tor, ut will be 1 year from the date of recording unless a
different date is specified) 6
WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA STATUTfS,AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT 6AUST BE
RECORDED AND POSTED ON THE JOB SlTE BEFORE THE FlRST INSPfCT10N.IF YOU INTEND TO OBTAIN RNANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCtNG WORK OR RECORDING YOUR NOTICE OF COMNfENCEIYIENT
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the
facts in it are to th best of my krtowiedge and belief.
1 - �
Signature of Owner or Less r Owners or Lessee's Author¢ed Office�/Diredor/Partner/Manager Signator�s TrtfdOffice
The foregoing instrument was acknowledged before me this�day of fo Lo�3 by �i.+-SS�i.L.�Q�r,�t �1 or+,�s,a�
month/year name of person
as for
Type of a ority,e.g.,ofBcer,trustee,aitomey in faci Name of party on behaff of whom instrument was executed
f
Sgn re of Notary Public-State of Florida Print,type,or start2,�r�nissio������Public
* � * MY COMMISSION#EE 218831
Personally Known OR Prnoduced ID � s EXPIRES:July 23,2016
Type of ID Produced ��G�i ✓L r°TFOFF�o�'`Oe BondedThruBudgetNotaryServkes
Form Revised September 26,2011
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'lorida Building Code Online r Page 1 of 2
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=�,,,r�n����;,��*^�ur;�-*� BCIS Home Loq In User Registretion Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff BCIS Site Map Links Search
Busines �,)�
Professi��a) � Product Approval
USER:PubliC User
�it'(�, i„�iul(0�'
� � Product Aooroval Me�u>Product or Aoolicat�on Search>A lic �on List>Appl eatlon Detafl
�w� � FL # FL2534-R6 s < �,���, �j3e��. �- ���/,�
= "'� Application Type Editorial Ch nge �� �a�.-.`,'y��.��si. .. " (
Code Version 2010 '-��� �� �� `-�
A roved i ��t�!'+1� ��(.P:1�n!�`!r'r� �
Application Status � pp �
Comments .
Archived �
Product Manufacturer IB`Rqof Systems ,�u;;"�';` r`k�`
r,�.i_I.!._'•�'�`.,`;),1 � � ,q�i1s,`y�;
Address/Phone/Email 2877 Chad Dr _��,; c�,., , ,,,2�,,,�;,�,�',U
Eugene, OR 97408 �'4;l.�`3,� , �s 1��4`, , ``� � � +ll��r��`��
(800) 426-1626 '�l5 ��` _ u��l.;,in1',L'E��'�I��,.��-�=C
.�;t�,
Brian.Martineau@ibrg��� ti�•,;l)�"+,�``�,s���(}`�i�'-
� ,���L�irl���.
Authorized Signature Brian Martineau
Brian.Martineau@ibroof.com
Technica� Representative Brian Martineau
Address/Phone/Email 2877 Chad Drive
Eugene, OR 97408
(800) 426-1626
Brian.Martineau@ibroof.com
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Single Ply Roof Systems
Compliance Method Evaluation Report from a Fiorida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who Robert Nieminen
developed the Evaluation Report
Florida License PE-59166
Quality Assurance Entity Intertek Testing Services NA Inc. - ETL/Warnock Hersey
Quality Assurance Contract Expiration Date l i/07/2013
Validated By )ohn W Knezevich, PE
Validation Checklist - Hardcopy Received
Certificate of Independence FL2534 R6 COI Trinitv ERD CI - Nieminen - 2013.adf
{4w.II.........�..«.�..L..:�.�:....` .._._1__/�_ _�_ )al ___'"�l""""'___"l�Tt7Vl1".aT'-__ T TTt7T TTTTI'��T1[' T/TT(1 l�/1A/nA11
=lorida Building Code Online Page 2 of 2
Referenced Standard and Year(of Standard) Standard Year
ASTM D4434 2006
FM 4470 1992
FM 4474 2004
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 04/12/2013
Date Validated 04/17/2013
Date Pending FBC Approval 04/28/2013
Date Approved 06/11/2013
Summary of Products - - -- -
FL# Model, Number or Name Descri ion i
2534.1 IB Single Ply Roof Systems Reinforced, polyvinyi chioride single piy roof systems �
'Limits of Use Installation Inst�uctions
� Approved for use in HVHZ: No FL2534 R6 II A1 er041213FINAL IB ROOF FL2534- �
' Approved for use outside HVHZ: Yes R6.�df '
Impact Resistant: N/A Verified By: Robert Nieminen PE-96166 ;
; Design Pressure: +N/A/-512.5 Created by Independent Third Party: Yes
Other: Refer to ER Section 5 for Limits of Use. The Evaluation Reports
design pressure noted herein relates to one specific FL2534 R6 AE er041213FINAL IB ROOF F12534- �
assembly. Refer to the ER Appendix for all assemblies and R6•�df �
max. desi n ressures. Created by Inde endent Third Pa : Yes �
i Back Next
Contact Us:. i�n North Monroe Street Tallahassee FL 32399 Phone:850-487-1824
The State of Florida is aq AA/EEO employer cnnvriaht 2007-2010 State of Florida Privacv Statement Accessibilitv Statement Refund Statement
Under Florida law,email addresses are public records.If you do not want your e-mail address released in response to a public-records request,do not send
elec[ronic mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 850.487 1395.*Pursuant
to Section 455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email
address if they have one.The emails provided may be used for official communication with the licensee.However email addresses are public record.If you
do not wish to supply a personal address,please provide the Department with an email address which can be made available to the public.To determine if
you are a licensee under Chapter 455,F.S.,please click here
Product Approval Accepts:
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Contract
�A Q� �vy�i Tf,� FL Lic. #CCC057091
(727)298-0955 711 Tumer St
(800)226-0955 COMfORT COVERSy57�M5 G�+►��,� ��ss
Fex:(727)28&0111
PROUDLY ROOFING SINCE 1985
wS 5�i-!,. �; o q rJ �I 3'
PROPOSAL SUBMITTED TO PHONE 7 Q- �S Lg CONTRACT DATE /C—l 7•- �
STREET y !�) �KE��� D MHP NAME �t+s�'i�RS MNP
CITY,STATE,ZIP (� a� �� � 33, L MHP ADDRESS '2,Z Lj�nt (Z Q2
W IL O
REPRESENTATIVE: �?�if 1 !K fC, �� APPROX.JOB START DATE O'J 3�
We hereby submit the following spacifications and astimatea: Year: [4�� Make:�EQR�-� Modol:
�INSTA�L COMFORT COVER SYSTEMS PATENTED ROOFING SYSTEM FOR THE
FOLLOWING AREA: /�+11{��l "{' SF�kED
?� SYSTEM TO BE INSTALLED:
DC WHITE GREY BEIGE
� INCLUDE DOUBLE-FOIL-FACED INSULATION AS INDICATEO:
�2"nom. 3/4"nom. NONE
� INCLUDE NEW VENTS, EXCIUDING FURNACE VENT;
(EIIMINATE DEAD AIR SPACE VENTS)
� INCLUDE ALL REQUIRED PERMITS.
� CLEAN UP ANO REMOVE ALL JOB-RELATED DEBRIS FROM JOBSITE.
� #_�SKYLITES TO BE INSTALLED. NO INSIDE FINISH INCLUDED.
� PROVIDE CONTRACTOR'S LIFETIME RESIDENTIAL LIMITED LABOR
WARRANTY AND MANUFACTURER'S LIFETIME RESIDENTIAL LIMITED
MEMBRANE WARRANTY TRANSFERABLE TO NEW OWNER FOR 15
YEARS FROM DATE OF THE ORIGINAL MEMBRANE INSTALLATION.
SPECIAL ►NSTRUCTIONS & EXTRA WORK(USE ADD/T/ONAL PAPER IF NECESSARY)
�r Mk�t (°t,..� ►rJS�ts�o�3 S�x��iLS r�T7 2`�lf oF aZ'/�' 4�EE.P GtRPoR1 P4aS
NOTE:RETAIL SALES TAX MUST BE CHARGED UNLESS THE CUSTOMER Sl('aNS THE FOLLOW►NG:
I certify that I own the land on which the structure I am improving is permanentiy affixed. Futhermore, I have filed
a declaration with the Property Appraiser requesting the structure assessed as realty and it bears an'RP"decal.
SIGNATURE ��A RP#(S)
CASH PRICE AND PAYMENT SCHEDULE: (Reference to a phase of construction means all work, materiats and equip-
ment necessary to complete that phase) Buyer agrees to pay Seller the Cash Price at Seller's oflice in accordance with the
following payment schedule I have the authority to order the above work and do so order as outlined he►ein.
1. Price $ 5.pQ it is agreed that the seller will retain tltle to any equipment or materiel lumished
until final 8 complete payment is made. An express mec�enic tien is herebY
�. TAX 1h '1 $ ��+"�• acknowledged for security of this debt and the total amount wiU be paid within
3. Down P�rtibfi� � S �D�O_ oo� te�sno�,.
4. B81at1C@ $ a,7�.�.�,S I,(we)herewith expressty agree to pay not as a penaNy but es liquidated
damages,25°/a of the prinapal amount of this contract t0 Cart►fort
ON COMPLETION OF ALL WORK CoverSystems in the event of a breach ot this agreement by I(we)tor eny
re35on whatever.
Terms: O Cash O Credit(Subjec[to the approval of the Credit Sales DepaRment.)
Autho�izsd '
Signsture NOTICE TO OWNER
All matenal is guaranteed to be as specified.All worVc to be completed in a workmanlike �O not s�gn this home improvemaM contract in
manne►accordiny to standard practices.Any alteration or deviation from above specifica- blank,or before you reed it.You er6 e�tiUed to a
copy ot this contract at ihe time you aiyn.Keep it
tions irnotviny enfra costs will be executed only upon written orders and will become an to protect your legal rights.Buyer's nght to cancel
eztre chatye over and above the astimate.All agreements contingent upon strikes, on reverse side
acxtidents or delays beyw�d our control.Owner to carry fire,tomado,and other necessary
insurance.Our workers are fuNy covered by Wortcers Compensation Insurance.
ACCeptanee of ContraCt—The above pnces, specifi- Signature
cations and conditions are satisfactory and are hereby ,
accepted. You are authonzed to do the work as specified. Signatur
Payment will be made as outline ebove
. , � �
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
C ontractor/Homeowner:
� � s ���
Date Received: ��-'l�cJ ��3
Site: ��7� l�Ke-g+�� �2
Permit Type: �� ���''�''
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept vvith the permit and/or plans.
C c
�'��� r- �7
Kalvin 'tzer xaminer Date Contractor and/or Homeowner
(Required when comments are present)
14-26-21-0000-00200-0000 � Pasco County Property Appraiser Page 1 of 1
Mike Wells Pasco County Properly Appraiser
Data Current as Of: Weekly Archive- Saturday, October 19, 2013
ParcelID 14-26-21-0000-00200-0000 (Card: 001 of005)
Classification 28 - Rental MH/RV Park
Mailing Address Property Value
WINTERS MOBILE HOME PARK INC Ag Land �p
38022 WINTER DR
ZEPHYRHILLS FL 33542-5544 �nd $2,121,394
Phvsical Address- See Ail 236 addresses Building �22g�g$2
(FirstShown) E�ra Features $15,569
38022 CROSS DR
ZEPHYRHILLS FL 33542-5590
Leaal Descriotion (First 4�ines) ]ust Value $2,365,945
COM AT NW COR OF SEC FOR POB AS525Sed (Non-School Amendment 1) $2,365,945
TH NOODG 03' S5"W 221.64 TO
SLY R/W LN OF SR 54 TH N64DG
32' S2"E 67.92 Ff TH S68DG 18' Taxable Value �2,365,945
lurisdiction
City of Zenhyrhills
Land Detail (Card: 001 of 005)
Line Use Description Zoning Units Type Price Condition Value
1 0210 TRLR PARK OOM2 199.00 UT $10,200.00 1.00 $2,029,800
2 0220 RV PARK OOM2 22.00 UT $5,203.00 0.80 $91,573
3 9500 SUBMERGED OOM2 0.10 AC $210.00 1.00 $21
Additional Land Information
Acres 23.20 A ea 30ZH C de -- Residential Code RMHPCL2 Commercial Code RMHPCL2
Buildina Information - Use 12 - Stores/Office SFR (Card: 001 of 005)
Year Built 1954 Stories 1.0
Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Metal
Interior Wall 1 Piywood Panel Interior Wall 2 Drywall
Flooring 1 Hardwood Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 2,p
Line Description Sq. Feet Repl. Cost New
1 FOP 374 $5,346
Z BAS 4,561 $259,384
Extra Features(Card: 001 of 005)
Line Description Year Units Value
1 FDU 1983 408 $1,224
2 FDU 1983 338 $1,014
3 t�D 1-�M 1991 1 $90
Sales History
Previous Owner: N�q
Month/Year Book/Page Type DOR Code Condition Amount
07/1978 0955 / 0076 Improved $0
http:Uappraiser.pascogov.com/search/pazcel.aspx?parce1=2126140000002000000 10/22/2013
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